Page last updated: 2024-10-23

atenolol and Hemangioma, Capillary

atenolol has been researched along with Hemangioma, Capillary in 11 studies

Atenolol: A cardioselective beta-1 adrenergic blocker possessing properties and potency similar to PROPRANOLOL, but without a negative inotropic effect.
atenolol : An ethanolamine compound having a (4-carbamoylmethylphenoxy)methyl group at the 1-position and an N-isopropyl substituent.

Hemangioma, Capillary: A dull red, firm, dome-shaped hemangioma, sharply demarcated from surrounding skin, usually located on the head and neck, which grows rapidly and generally undergoes regression and involution without scarring. It is caused by proliferation of immature capillary vessels in active stroma, and is usually present at birth or occurs within the first two or three months of life. (Dorland, 27th ed)

Research Excerpts

ExcerptRelevanceReference
"Although propranolol has been established as the gold standard when treatment is sought for infantile hemangioma, concerns over its side effect profile have led to increasing usage of atenolol, a beta-1 selective blocker."9.41Should Propranolol Remain the Gold Standard for Treatment of Infantile Hemangioma? A Systematic Review and Meta-Analysis of Propranolol Versus Atenolol. ( Carroll, W; Chen, T; Clemmens, C; Gudipudi, R; Nguyen, SA, 2023)
"The purpose of this study was to compare long-term neurocognitive functioning (working memory, processing speed, and attention) between children who had been treated with either propranolol or atenolol for infantile hemangioma during infancy."8.31Long-term neurocognitive functioning of children treated with propranolol or atenolol for infantile hemangioma. ( Breugem, CC; Breur, JMPJ; de Graaf, M; de Laat, PCJ; de Wildt, SN; Hermans, MM; Langeveld, HR; Mendels, EJ; Pasmans, SGMA; Raphael, MF; Rietman, AB; Schappin, R, 2023)
"Infantile haemangiomas are common benign tumours of infancy, which can be treated effectively with beta-blockers such as propranolol and atenolol."8.12Aesthetic Outcome of Propranolol vs Atenolol Treatment of Children with Infantile Haemangioma. ( Breugem, CC; Breur, JMPJ; De Graaf, M; De Laat, PCJ; De Wildt, SN; Hermans, MM; Jonge Poerink, E; Langeveld, HR; Mendels, EJ; Pasmans, SGMA; Ragamin, A; Raphael, MF; Rietman, AB; Schappin, R, 2022)
"Although propranolol has been established as the gold standard when treatment is sought for infantile hemangioma, concerns over its side effect profile have led to increasing usage of atenolol, a beta-1 selective blocker."5.41Should Propranolol Remain the Gold Standard for Treatment of Infantile Hemangioma? A Systematic Review and Meta-Analysis of Propranolol Versus Atenolol. ( Carroll, W; Chen, T; Clemmens, C; Gudipudi, R; Nguyen, SA, 2023)
"The purpose of this study was to compare long-term neurocognitive functioning (working memory, processing speed, and attention) between children who had been treated with either propranolol or atenolol for infantile hemangioma during infancy."4.31Long-term neurocognitive functioning of children treated with propranolol or atenolol for infantile hemangioma. ( Breugem, CC; Breur, JMPJ; de Graaf, M; de Laat, PCJ; de Wildt, SN; Hermans, MM; Langeveld, HR; Mendels, EJ; Pasmans, SGMA; Raphael, MF; Rietman, AB; Schappin, R, 2023)
"Infantile haemangiomas are common benign tumours of infancy, which can be treated effectively with beta-blockers such as propranolol and atenolol."4.12Aesthetic Outcome of Propranolol vs Atenolol Treatment of Children with Infantile Haemangioma. ( Breugem, CC; Breur, JMPJ; De Graaf, M; De Laat, PCJ; De Wildt, SN; Hermans, MM; Jonge Poerink, E; Langeveld, HR; Mendels, EJ; Pasmans, SGMA; Ragamin, A; Raphael, MF; Rietman, AB; Schappin, R, 2022)
"Propranolol has become the first-line therapy for problematic infantile hemangiomas (IHs) that require systemic therapy."3.01Efficacy and Safety of Propranolol vs Atenolol in Infants With Problematic Infantile Hemangiomas: A Randomized Clinical Trial. ( Chen, S; Dai, S; Ji, Y; Jiang, X; Kong, F; Li, L; Lu, G; Qiu, L; Qiu, T; Xiang, B; Yang, K; Zhang, X; Zhang, Y; Zhou, J, 2021)
"Atenolol is a cardioselective beta-blocker that may have fewer adverse events."2.79Atenolol versus propranolol for the treatment of infantile hemangiomas: a randomized controlled study. ( Ábarzúa-Araya, A; Heusser, F; Navarrete-Dechent, CP; Retamal, J; Zegpi-Trueba, MS, 2014)
"Atenolol treatment promoted dramatic decreases in HAS scores after week 1."1.43Oral atenolol therapy for proliferating infantile hemangioma: A prospective study. ( Chen, S; Ji, Y; Jiang, X; Li, Y; Wang, Q; Xiang, B; Xu, Z; Yang, X; Zhong, L, 2016)

Research

Studies (11)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's5 (45.45)24.3611
2020's6 (54.55)2.80

Authors

AuthorsStudies
Chen, T1
Gudipudi, R1
Nguyen, SA1
Carroll, W1
Clemmens, C1
Hermans, MM3
Breugem, CC3
Schappin, R3
Jonge Poerink, E1
Mendels, EJ3
Ragamin, A1
Breur, JMPJ3
Langeveld, HR3
Raphael, MF3
De Laat, PCJ3
De Wildt, SN3
Rietman, AB3
Pasmans, SGMA3
De Graaf, M3
Sabbah, F1
Shamir, I1
Gabis, LV1
Ollech, A1
Shaham, M1
Barzilai, A1
Baum, S1
Krispin, O1
Peleg, T1
Ben Amitai, D1
Greenberger, S1
Calderón-Castrat, X1
Velásquez, F1
Castro, R1
Ballona, R1
Ji, Y2
Chen, S2
Yang, K1
Zhang, X1
Zhou, J1
Li, L1
Xiang, B2
Qiu, T1
Dai, S1
Jiang, X2
Lu, G1
Qiu, L1
Kong, F1
Zhang, Y1
Dakoutrou, M1
Alexopoulos, A1
Miligkos, M1
Georgiadou, E1
Kanaka-Gantenbein, C1
Kakourou, T1
Gumina, ME1
Yan, AC1
Ábarzúa-Araya, A1
Navarrete-Dechent, CP1
Heusser, F1
Retamal, J1
Zegpi-Trueba, MS1
Rouhana, HF1
Fruge, JH1
Massengale, WT1
Wang, Q1
Xu, Z1
Li, Y1
Zhong, L1
Yang, X1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Efficacy and Safety of Propranolol Versus Atenolol on the Proliferative Phase of Infantile Hemangioma[NCT02342275]Phase 3377 participants (Actual)Interventional2013-10-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Complete Ulceration Healing Time

The complete healing time of the ulceration was defined as the time from the first dosage of propranolol or atenolol until complete healing of the hemangioma ulceration (assessed up to 6 months). Ulceration is defined as a break in the integrity of the hemangioma surface epithelium (or skin) with or without infection. The information included the extent of ulceration, complications of ulceration, prior duration of ulceration (before treatment), concurrent treatments, and complete healing time. Prior duration of ulceration was defined as the time from the first sign of ulceration until before β-blocker treatment. The complete healing time of the ulceration was defined as the time from the first dosage of propranolol or atenolol until complete healing of the hemangioma ulceration. Concurrent treatments, including oral pain medication, oral antibiotics, topical ointment antibiotics and/or wound dressings, were permitted to treat ulcerated IH and were recorded. (NCT02342275)
Timeframe: from the first dosage of propranolol or atenolol until complete healing ofthe hemangioma ulceration.

Interventionweeks (Mean)
Propranolol4.94
Atenolol4.82

Number of Participants With Complete/Nearly Complete Response (96 Week)

A complete/nearly complete response at week 96 was considered median-term efficacy. (NCT02342275)
Timeframe: 96 week

InterventionParticipants (Count of Participants)
Propranolol156
Atenolol149

Rebound Rate

Regrowth of more than 20% in hemangioma appearance (including changes in color and/or volume) after stopping the medication was considered significant rebound. The inclusion criteria for rebound analysis were as follows: (1) patients who completed 6 months of treatment and (2) patients who discontinued therapy or were tapering treatment after achieving an any response. The exclusion criteria were as follows: (1) patients who were noncompliant with treatment and (2) patients who did not respond to treatment. Whether a patient had hemangioma rebound was based on the site investigators' assessments after the week 24 treatment. In patients with significant rebound, reinitiation of systemic therapy (either propranolol or atenolol) was recommended. Minor rebound, which was defined as those patients in whose rebound was noted but no reinitiation of systemic therapy or further treatment was necessary, was not included in the analysis. (NCT02342275)
Timeframe: between weeks 24 and 96

InterventionParticipants (Count of Participants)
Propranolol19
Atenolol12

Successful Initial Response

"A successful initial response was defined as a HAS score decrease at 1 week after treatment.~A successful initial response was assessed by using HAS in the intention-to-treat population. Previous studies demonstrated that HAS decreases over time after β-blocker treatment, with a dramatic drop occurring in the first week, indicating an immediate therapeutic response. HAS can reflect the rapid effect of β-blocker (either propranolol or atenolol) therapy shortly after initiation." (NCT02342275)
Timeframe: 1 week after treatment

InterventionParticipants (Count of Participants)
Propranolol171
Atenolol163

The Primary Outcome Measure Was Any Response at 6 Months

"Changes in IH size and color were classified as a complete response, nearly complete response, partial response or no response. The primary outcome measure was any response at 6 months in the intention-to-treat population of all patients who underwent randomization. The any response included compete, nearly complete and partial responses.~A complete response was defined as no redundant tissue or telangiectasia was identified.~A nearly complete response was defined as a minimal degree of telangiectasis, erythema and skin thickening.~A partial response was defined as a size reduction or change in color that did not meet the nearly complete resolution criteria." (NCT02342275)
Timeframe: 6 month

InterventionParticipants (Count of Participants)
Propranolol178
Atenolol173

Hemangioma Activity Score (HAS)

"HAS was measured at baseline and at 1, 4, 12, and 24 weeks, including the degree of deep swelling, the color of the hemangioma, and the ulceration assessment:~Assessment of the degree of swelling. It was scored as follows:~6 points if the swelling was tense;~4 points if the swelling was'neutral;~2 points when the swelling was reduced by 50% or more at follow-up; or~0 point when there was no more visible swelling at a follow-up.~Assessment of the color of the IH.~5 points if the hemangioma lesion was bright red all over;~3 points if the hemangioma lesion was matte red or reddish-purple;~1 point if the hemangioma lesion was totally or partially gray;~0 points if the hemangioma lesion was totally or partially skin-colored after involution.~(2) Assessment of the ulceration. -0.5 point for an ulcer ≤1.0 cm2;~One point for an ulcer >1.0 cm2 but <25 cm2;~Two points for an ulcer ≥25 cm2. The HAS score= (Swelling score + color score)/2 +Ulceration score." (NCT02342275)
Timeframe: Baseline and at 1, 4, 12, and 24 weeks

,
Interventionscore on a scale (Mean)
BaselineWeek 1Week 4Week 12Week 24
Atenolol4.543.472.331.540.82
Propranolol4.613.312.421.540.82

Reviews

2 reviews available for atenolol and Hemangioma, Capillary

ArticleYear
Should Propranolol Remain the Gold Standard for Treatment of Infantile Hemangioma? A Systematic Review and Meta-Analysis of Propranolol Versus Atenolol.
    The Annals of otology, rhinology, and laryngology, 2023, Volume: 132, Issue:3

    Topics: Adrenergic beta-Antagonists; Atenolol; Drug-Related Side Effects and Adverse Reactions; Hemangioma;

2023
Beta blocker treatment for infantile hemangiomas.
    Dermatology online journal, 2015, Jul-15, Volume: 21, Issue:7

    Topics: Administration, Oral; Adrenergic beta-Antagonists; Atenolol; Child; Child, Preschool; Dose-Response

2015

Trials

2 trials available for atenolol and Hemangioma, Capillary

ArticleYear
Efficacy and Safety of Propranolol vs Atenolol in Infants With Problematic Infantile Hemangiomas: A Randomized Clinical Trial.
    JAMA otolaryngology-- head & neck surgery, 2021, 07-01, Volume: 147, Issue:7

    Topics: Adrenergic beta-1 Receptor Antagonists; Adrenergic beta-Antagonists; Atenolol; China; Female; Hemang

2021
Atenolol versus propranolol for the treatment of infantile hemangiomas: a randomized controlled study.
    Journal of the American Academy of Dermatology, 2014, Volume: 70, Issue:6

    Topics: Adrenergic beta-Antagonists; Atenolol; Dose-Response Relationship, Drug; Drug Administration Schedul

2014

Other Studies

7 other studies available for atenolol and Hemangioma, Capillary

ArticleYear
Aesthetic Outcome of Propranolol vs Atenolol Treatment of Children with Infantile Haemangioma.
    Acta dermato-venereologica, 2022, Oct-11, Volume: 102

    Topics: Adrenergic beta-Antagonists; Atenolol; Cross-Sectional Studies; Esthetics; Hemangioma; Hemangioma, C

2022
Atenolol treatment does not affect behavioral outcomes in pediatric patients with infantile hemangiomas: A case-control cohort study.
    Journal of the American Academy of Dermatology, 2023, Volume: 88, Issue:3

    Topics: Atenolol; Case-Control Studies; Child; Cohort Studies; Hemangioma; Hemangioma, Capillary; Humans; In

2023
Long-term neurocognitive functioning of children treated with propranolol or atenolol for infantile hemangioma.
    European journal of pediatrics, 2023, Volume: 182, Issue:2

    Topics: Adrenergic beta-Antagonists; Atenolol; Child; Cross-Sectional Studies; Female; Hemangioma; Hemangiom

2023
Long-term neurocognitive functioning of children treated with propranolol or atenolol for infantile hemangioma.
    European journal of pediatrics, 2023, Volume: 182, Issue:2

    Topics: Adrenergic beta-Antagonists; Atenolol; Child; Cross-Sectional Studies; Female; Hemangioma; Hemangiom

2023
Long-term neurocognitive functioning of children treated with propranolol or atenolol for infantile hemangioma.
    European journal of pediatrics, 2023, Volume: 182, Issue:2

    Topics: Adrenergic beta-Antagonists; Atenolol; Child; Cross-Sectional Studies; Female; Hemangioma; Hemangiom

2023
Long-term neurocognitive functioning of children treated with propranolol or atenolol for infantile hemangioma.
    European journal of pediatrics, 2023, Volume: 182, Issue:2

    Topics: Adrenergic beta-Antagonists; Atenolol; Child; Cross-Sectional Studies; Female; Hemangioma; Hemangiom

2023
Oral Atenolol for Infantile Hemangioma: Case Series of 46 Infants.
    Actas dermo-sifiliograficas, 2020, Jan-02, Volume: 111, Issue:1

    Topics: Administration, Oral; Adrenergic beta-1 Receptor Antagonists; Atenolol; Female; Hemangioma, Capillar

2020
Atenolol treatment for severe infantile hemangiomas: comparison with a propranolol group of our centre.
    Journal of the European Academy of Dermatology and Venereology : JEADV, 2019, Volume: 33, Issue:5

    Topics: Atenolol; Dose-Response Relationship, Drug; Drug Administration Schedule; Female; Follow-Up Studies;

2019
Atenolol as an alternative to propranolol for the management of sleep disturbances in the treatment of infantile hemangiomas.
    Pediatric dermatology, 2019, Volume: 36, Issue:4

    Topics: Administration, Oral; Atenolol; Drug Substitution; Female; Hemangioma, Capillary; Humans; Infant; Pa

2019
Oral atenolol therapy for proliferating infantile hemangioma: A prospective study.
    Medicine, 2016, Volume: 95, Issue:24

    Topics: Administration, Oral; Adrenergic beta-1 Receptor Antagonists; Atenolol; Dose-Response Relationship,

2016